Cardiologist, Pune

Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.

More about Dr. Dilip Bhoge

Dr. Dilip Bhoge is a trusted Cardiologist in Talegaon, Pune. He is currently associated with Pratap Memorial Hospital, Talegaon Dabhade in Talegaon, Pune. Book an appointment online with Dr. Dilip Bhoge and consult privately on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 25 years of experience on Lybrate.com. You can find Cardiologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

You need to understand about high blood pressure.
Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal.
Many factors can affect blood pressure, including:
1) The amount of water and salt you have in your body
2) The condition of your kidneys, nervous system, or blood vessels
3) Your hormone levels
4) your lifestyle - smoking, drinking, exercise
You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death.
DASH stands for Dietary Approaches to Stop Hypertension. DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease.
The DASH Diet
Emphasizes vegetables, fruits, and fat-free or low-fat dairy products.
Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils.
Limits sodium, sweets, sugary beverages, and red meats.
Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking.
My advice to you would be
1) Keep a BP daily record for at least one week
2) Basic tests should be one to rule out cardiac / kidney issues
3) unless any recent evaluation has been done I would advice these test
ECG
ECHO
Lipid Profile
TSH
KFT
Renal doppler
Get back to me with a detailed history and old / new records for a better individualized advice.

Kindly maintain an ideal weight and follow a disciplined and healthy lifestyle. Keep going for your routine medical examination regularly. Learn yoga and pranayam which can fine-tune your metabolism and also the heart rate.

Firstly Don't worry.
Blood pressure Keeps fluctuating in everyone depending upon our physical & psychological stress levels.(BP sabh mein upar neeche hote rehta hai. Stress mein jyada aur rest mein Kam hota hai ).
you need to take a digital BP machine & keep a BP record (Digital BP machine le lo.(see my video on how to use it properly. Aur khud ka BP check karo.
.check it daily for at least one week & Every time you need to measure BP twice or thrice with a gap of 15 mins rest & note down the lowest reading. We need to know how low your blood pressure can go by just resting. If your blood pressure does not become normal by resting then you will need for the revaluation and medication.
(Har 15 -15 min k Baad. Aur note karo BP aaram karne se kamm hota hai ya nhi. Ager aaram karne se BP normal ho jata hai to apko BP ki bimari nhi hai. Sirf stress hai. Aur.jinka BP continuously lagatar high rehta hai unko dawa chalu karne ya badhane aur tests ki jaroorat Hoti hai.)
You need to first understand few things about blood pressure.
Normal range of blood pressure is between 90/60 to 140/90 & blood pressure keeps fluctuating in every one. In stress it rises & while resting it decreases. If it is constantly higher then 140/90 & does not decrease by resting it's then called hypertension.
Many factors can affect blood pressure, including:
1) The amount of water and salt you have in your body
2) The condition of your kidneys, nervous system, or blood vessels
3) Your hormone levels
4) your lifestyle - smoking, drinking, exercise
Stress, less sleep, smoking, alcohol, overweight, heart, kidney problems, lack of physical exercise. All of these can cause High blood pressure.
You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up.
Highblood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death.
So my advice to you would be
1) Basic tests should be one to rule out cardiac / kidney issues & find if there is any treatable cause of High blood pressure
2) unless any recent evaluation has been done I would advice these test
ECG
ECHO
Lipid Profile
TSH
KFT
Renal doppler
Fundoscopy
Vit D
Vit B12
Get back to me with a detailed history and old / new records For Now Keep taking the same medicines which you are taking (if you are taking ).plus
Start lifestyle changes & diet changes
Emphasizes vegetables, fruits, and fat-free or low-fat dairy products.
Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils.
Limits sodium, sweets, sugary beverages, and red meats.
Along with this, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking.

Unfortunately not
when an artery gets blocked there is something called plaque which develops inside it. Which blocks some part of the artery. Overtime this plaque can get calcified and organize or it may get inflamed and burst like a pimple inside the artery. When this pimple bursts alot of cloting activity happens there which forms a thrombus which blocks the rest of the vessel and causes heart attack. Meditations can only make this clotting process slower and decrease chances of future plaque formation. But already formed plaque will remain as it as even after angioplasty. Angioplasty will pushout the plaques to decrease the blockage and medication will decrease the chances of this clot formation. Proper diet and exercise decreases the chances of having a heart attack and conditions the heart to form more blood vessels to compensate for the blocked arteries.

In epilepsy, your reports can be normal when it is called idiopathic epilepsy. Lf the seizures are not controlled with eptoin you require increase in dose or change in medicines.
The side effects of eptoin are giddiness, hair growth, sedation, tremors, bone loss due to vit d def, anemia, etc.

FOR LOW B.P - 1. Eat a diet higher in salt.
2. To avoid problems with low blood pressure and lessen episodes of dizziness after meals, try eating smaller, more frequent meals. Cut back on carbohydrates. Rest after eating
3. Limit alcoholic beverages, Drink more fluids during hot weather and while sick with a viral illness, such as a cold or the flu.
4. Avoid heavy lifting.
5. Avoid prolonged exposure to hot water, such as hot showers and spas. If you get dizzy, sit down. 6. Get regular exercise to promote blood flow.
7. Be careful when rising from lying down or sitting. To help improve circulation, pump your feet and ankles a few times before standing up. Then proceed slowly. When getting out of bed, sit upright on the edge of the bed for a few minutes before standing.
8. Elevate the head of your bed at night by placing bricks or blocks under the head of bed.
9. Avoid straining while on the toilet.
10. Avoid standing still in place for long periods of time.
Do revert for homeopathic medicines FOR B.P.

Dear lybrateuser,
- Do steam inhalation three times a day
- do warm salt water gargles three times a day
- have more of warm fluids like water, tea, coffee, milk, soup
- have a teaspoon of honey at breakfast
- avoid spicy, sour& fried foods
- take syrup Chercof, 2 teaspoonful three times a day
- avoid exposure to cold, dust, perfume, spray.